,,ii  #aac? ,,congress  #a/ ,session    
,s4 #aebb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #ah1         
#bjac,mr4 ,s&]s 7= himself & ,mr4       
,s*atz7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to improve access  
to oral heal? c>e = vuln]able & und]s]v$
 populations4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,compreh5sive ,d5tal   
,re=m ,act ( #bjac4  #b4 ,table (       
cont5ts ,! table ( cont5ts ( ?is ,act is
 z foll[s3 ,sec4 #a4 ,%ort title4,sec4  
#b4 ,table ( cont5ts4,sec4 #c4          
,f9d+s4,,title ,i--,m$ic>e &            
,medicaid,subtitle ,a--,medicare,sec4   
#aja4 ,cov]age ( d5tal s]vices "u !     
,m$ic>e program4,subtitle               
,b--,medicaid,sec4 #aaa4 ,cov]age (     
d5tal s]vices "u ! ,m$icaid             
program4,,title ,,ii--,public ,heal?    
programs,subtitle ,a--,national ,heal?  
,s]vice ,corps,sec4 #bja4 ,national     
,heal? ,s]vice ,corps4,sec4 #bjb4       
,community bas$ d5tal                   

resid5cies4,subtitle ,b--,oral heal?    
education,sec4 #baa4 ,au?orization (    
appropriations = oral heal? education = 
m$ical provid]s4,sec4 #bab4 ,oral heal? 
education = o!r non-heal?               
pr(essionals4,sec4 #bac4 ,d5tal         
education4,sec4 #bad4 ,oral heal?       
pr(essional /ud5t loans4,subtitle       
,c--,o!r oral heal? programs,sec4 #bba4 
,access po9ts4,sec4 #bbb4 ,d5tal cl9ics 
9 s*ools4,sec4 #bbc4 ,em]g5cy room c>e  
coord9ation4,sec4 #bbd4 ,rese>*         
fund+4,sec4 #bbe4 ,mobile & portable    
d5tal s]vices4,subtitle ,d--,oral heal? 
s]vices z an ess5tial heal? benefit,sec4
 #bca4 ,oral heal? s]vices z an ess5tial
 heal? b5efit4,,title ,,iii--,dep>tm5t (
 ,vet]ans ,affairs & ,dep>tm5t ( ,def5se
 ,matters,subtitle ,a--,dep>tm5t (      
,vet]ans ,affairs ,matters,sec4 #cja4   
,requir+ ! ,secret>y ( ,vet]ans ,affairs
 to furni% d5tal c>e 9 ! same mann] z   
any o!r m$ical s]vice4,sec4 #cjb4       
,demon/ration program on tra9+ &        
employm5t ( alt]native d5tal heal? c>e  

provid]s = d5tal heal? c>e s]vices =    
vet]ans 9 rural & o!r und]s]v$          
communities4,subtitle ,b--,dep>tm5t (   
,def5se ,matters,sec4 #caa4             
,demon/ration program on tra9+ &        
employm5t ( alt]native d5tal heal? c>e  
provid]s = d5tal heal? c>e s]vices =    
memb]s ( ! ,arm$ ,=ces & dep5d5ts lack+ 
ready access to su* s]vices4,,title     
,,iv--,f$]al ,bureau ( ,prisons,sec4    
#dja4 ,demon/ration program on tra9+ &  
employm5t ( alt]native d5tal heal? c>e  
provid]s = d5tal heal? c>e s]vices =    
prison]s )9 ! cu/ody ( ! ,bureau (      
,prisons4,,title ,v--,indian ,heal?     
,service,sec4 #eja4 ,demon/ration       
program on tra9+ & employm5t (          
alt]native d5tal heal? c>e provid]s =   
d5tal heal? c>e s]vices "u ! ,indian    
,heal? ,s]vice4,,title ,,vi--,reports to
 ,congress,sec4 #fja4 ,evaluation (     
expansion ( cov]age = d5tal s]vices4    
#c4 ,f9d+s ,congress makes ! foll[+     
f9d+s3 7#a7 ,! ,unit$ ,/ates mu/ e/abli%
 a nationwide & compreh5sive approa* to 

address ! lack ( access to ne$$ d5tal   
c>e & r$uce oral heal? disp>ities4  7#b7
 ,s9ce #bjjj1 :5 ! ,surgeon ,g5]al ( !  
,unit$ ,/ates call$ d5tal disease a     
sil5t epidemic1 !re has be5 increas+ b  
/ill insuffici5t att5tion giv5 to       
address+ oral heal? issues4 ,! ,heal?y  
,p #bjbj initiative includes oral heal? 
z a lead+ heal? indicator = ! fir/ "t 9 
! hi/ory ( ! ,heal?y ,p program1 & 9    
#bjaa1 ! ,in/itute ( ,m$ic9e publi%$ #b 
reports1 ,improv+ ,access to ,oral      
,heal? ,c>e = ,vuln]able & ,und]s]v$    
,populations & ,advanc+ ,oral ,heal? 9  
,am]ica1 t focus$ on oral heal?4  7#c7  
,d5tal c>ies1 commonly kn[n z cavities1 
are ! mo/ common *ronic disease = *ildr5
 9 ! ,unit$ ,/ates4 ,additionally1 #be  
p]c5t ( ,am]ican adults :o h atta9$ #fe 
ye>s ( age h lo/ all ( _! tee?4  7#d7   
,untreat$ oral heal? problems contribute
 to an increas$ risk = s]i\s m$ical     
conditions su* z diabetes1              
hospital-acquir$ pneumonia1 & poor bir? 
outcomes4  7#e7 ,accord+ to a report by 

! ,surgeon ,g5]al ( ! ,unit$ ,/ates1    
/ud5ts miss m ?an #ea1jjj1jjj h\rs (    
s*ool & employ$ adults lose m ?an       
#afd1jjj1jjj h\rs ( "w ea* ye> due to   
d5tal disease & d5tal visits4  7#f7     
,:ile ! lack ( access to oral heal?     
s]vices is a national problem1 ^? :o are
 mo/ likely to rema9 und]s]v$ are       
individuals ) l[ incomes1 racial & e?nic
 m9orities1 pregnant wom51 old] adults1 
individuals ) special ne$s1 &           
individuals liv+ 9 rural communities4   
7#g7 ,m ?an #a 9 #d ,am]icans d n h     
d5tal heal? insurance :i* is f> great]  
?an ! numb] ( individuals :o lack g5]al 
heal? insurance4  7#h7 ,! ,m$ic>e       
program & ! ,dep>tm5t ( ,vet]ans        
,affairs d n provide d5tal cov]age to ! 
majority ( _! b5efici>ies1 & ,/ates c   
elect :e!r to provide d5tal cov]age to  
adults "u ! ,m$icaid program4  7#i7     
,only #bj p]c5t ( practic+ d5ti/s 9 !   
,unit$ ,/ates provide c>e to individuals
 enroll$ 9 ,m$icaid1 & a v small        
p]c5tage ( d5ti/s devote a sub/antial "p

 ( _! practice t[>ds c>+ = individuals  
:o are und]s]v$4  7#aj7 ,! ,unit$ ,/ates
 sp5ds m ?an #ajj1jjj1jjj1jjj on d5tal  
c>e & t numb] is expect$ to rise to     
ne>ly #agj1jjj1jjj1jjj by #bjbj4 ,ov]   
#cj1jjj1jjj1jjj doll>s 0 sp5t           
out-(-pocket = d5tal s]vices 9 #bjjh4   
7#aa7 ,! lack ( access to oral heal?    
s]vices results 9 high] heal? c>e       
exp5ditures4 ,9 #bjji1 !re 7 ov]        
#hcj1jjj visits to em]g5cy rooms across 
! ,unit$ ,/ates = prev5table d5tal      
conditions1 :i* is #af p]c5t high] ?an 9
 #bjjf4 ,! treatm5t ( d5tal conditions 9
 hospital em]g5cy rooms 9 #bjaj co/ z   
mu* z #b1ajj1jjj1jjj4  ,i ,m$ic>e &     
,m$icaid  ,a ,m$ic>e  #aja4 ,cov]age (  
d5tal s]vices "u ! ,m$ic>e program  7a7 
,cov]age ,section #ahfa7s77#b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7s77#b77 is am5d$-- 7#a7 9        
subp>agraph 7,,ee71 by /rik+ & aft] !   
semicolon at ! end2  7#b7 9 subp>agraph 
7,,ff71 by add+ & aft] ! semicolon at ! 
end2 &  7#c7 by add+ at ! end ! foll[+  

new subp>agraph3  7,,gg7 d5tal s]vices  
7z def9$ 9 subsection 7iii772  4  7b7   
,d5tal s]vices def9$ ,section #ahfa7s7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #aciex7s77 is am5d$ by add+ at ! end ! 
foll[+ new subsection3  7iii7 ,d5tal    
s]vices  7#a7 ,! t]m d5tal s]vices means
 oral heal? s]vices 7z def9$ by !       
,secret>y7 provid$ by a lic5s$ oral     
heal? c>e provid] t are necess>y to     
prev5t disease & promote oral heal?1    
re/ore oral /ructures to heal? &        
function1 & treat em]g5cy conditions4   
7#b7 ,= purposes ( p>agraph 7#a71 su*   
t]m %all include mobile & portable oral 
heal? s]vices 7z def9$ by ! ,secret>y7  
t-- 7,a7 are provid$ = ! purpose (      
ov]com+ mobility1 transportation1 &     
access b>ri]s = individuals2 &  7,b7    
satisfy ! /&>ds & c]tification          
requirem5ts e/abli%$ "u section         
#aijb7;a77#hd77;,b7 = ! ,/ate 9 :i* !   
s]vices are provid$4  4  7c7 ,paym5t &  
co9surance ,section #ahcc7;a77#a7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   

#aciel7a77#a77 is am5d$-- 7#a7 by /rik+ 
& be=e 7,z72 &  7#b7 by ins]t+ be=e !   
semicolon at ! end ! foll[+3 1 & 7,,aa7 
) respect to d5tal s]vices 7z def9$ 9   
section #ahfa7;iii771 ! am\nt paid %all 
be 7i7 9 ! case ( su* s]vices t are     
d5tal heal? prev5tive s]vices describ$ 9
 p>agraph 7#a77;,d7 ( su* section1 #ajj 
p]c5t ( ! less] ( ! actual *>ge = !     
s]vices or ! am\nt det]m9$ "u ! paym5t  
basis det]m9$ "u section #ahdh1 & 7ii7 9
 ! case ( all o!r su* s]vices1 #hj p]c5t
 ( ! less] ( ! actual *>ge = ! s]vices  
or ! am\nt det]m9$ "u ! paym5t basis    
det]m9$ "u section #ahdh4  7d7 ,paym5t  
"u physician fee s*$ule ,section        
#ahdh7;j77#c7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#d7;j77#c77 is   
am5d$ by ins]t+ 7#b77;,,gg71 aft] risk  
assessm5t714  7e7 ,d5tures ,section     
#ahfa7s77#h7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciex7s77#h77 is am5d$--
 7#a7 by /rik+ 7o!r ?an d5tal7 & ins]t+ 
7includ+ d5tures72 &  7#b7 by /rik+     
int]nal body4  7f7 ,repeal ( gr\nd =    

exclusion ,section #ahfb7;a7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #aciey7  
is am5d$ by /rik+ p>agraph 7#ab74  7g7  
,effective date ,! am5dm5ts made by ?is 
section %all apply to s]vices furni%$ on
 or aft] ,janu>y #a1 #bjad4  ,b ,m$icaid
  #aaa4 ,cov]age ( d5tal s]vices "u !   
,m$icaid program  7a7 ,9 g5]al ,section 
#aije ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9    
subsection 7a77#aj71 by add+ 7z describ$
 9 subsection 7ee77#a77 aft] d5tal      
s]vices2 &  7#b7 by add+ at ! end !     
foll[+3  7ee7 7#a7 ,subject to p>agraphs
 7#b7 & 7#c71 = purposes ( ?is title1 ! 
t]m d5tal s]vices means oral heal?      
s]vices 7z def9$ by ! ,secret>y7 provid$
 by a lic5s$ oral heal? c>e provid] t   
are necess>y to prev5t disease & promote
 oral heal?1 re/ore oral /ructures to   
heal? & function1 & treat em]g5cy       
conditions4  7#b7 ,= purposes ( p>agraph
 7#a71 su* t]m %all include-- 7,a7      
d5tures2 &  7,b7 mobile & portable oral 
heal? s]vices 7z def9$ by ! ,secret>y7  

t-- 7i7 are provid$ = ! purpose (       
ov]com+ mobility1 transportation1 &     
access b>ri]s = individuals2 &  7ii7    
satisfy ! /&>ds & c]tification          
requirem5ts e/abli%$ "u section         
#aijb7;a77#hb77;,c7 = ! ,/ate 9 :i* !   
s]vices are provid$4  7#c7 ,= purposes (
 p>agraph 7#a71 su* t]m %all n apply to 
d5tal c>e or s]vices provid$ to         
individuals "u ! age ( #ba "u subsection
 7r77#c74  4  7b7 ,con=m+ am5dm5ts  7#a7
 ,/ate plan requirem5ts ,section        
#aijb7;a7 ( su* ,act 7#db ,u4,s4,c4     
#acif;a7a77 is am5d$-- 7,a7 9 p>agraph  
7#aj77;,a71 9 ! matt] prec$+ clause 7i71
 by ins]t+ 7#aj71 aft] 7#e712  7,b7 9   
p>agraph 7#hj71 by /rik+ & at ! end2    
7,c7 9 p>agraph 7#ha71 by /rik+ ! p]iod 
at ! end & ins]t+ 2 &2 &  7,d7 by ins]t+
 aft] p>agraph 7#ha7 ! foll[+3  7#hb7   
provide =-- 7,a7 in=m+1 9 writ+1 all    
individuals :o h be5 det]m9$ to be      
eligible = m$ical assi/ance ( !         
availability ( d5tal s]vices 7z def9$ 9 
section #aije7;ee772  7,b7 conduct+     

t>get$ outrea* to pregnant wom5 :o h be5
 det]m9$ to be eligible = m$ical        
assi/ance ab\t ! availability ( m$ical  
assi/ance = su* d5tal s]vices & !       
importance ( receiv+ d5tal c>e :ile     
pregnant2 &  7,c7 e/abli%+ & ma9ta9+    
/&>ds = & c]tification ( mobile &       
portable oral heal? s]vices 7z describ$ 
9 subsections 7r77#c77;,c7 &            
7ee77#b77;,b7 ( section #aije74  4  7#b7
 ,def9ition ( m$ical assi/ance ,section 
#aije7;a77#ab7 ( su* ,act 7#db ,u4,s4,c4
 #acif;d7a77#ab77 is am5d$ by /rik+ 1   
d5tures14  7c7 ,mobile & portable oral  
heal? s]vices "u ,,epsdt ,section       
#aije7r77#c7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acif;d7r77#c77 is       
am5d$-- 7#a7 9 subp>agraph 7,a77ii71 by 
/rik+ 2 & & ins]t+ a semicolon2  7#b7 9 
subp>agraph 7,b71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7#c7 by add+ at !  
end ! foll[+ new subp>agraph3  7,c7 :i* 
%all include mobile & portable oral     
heal? s]vices 7z def9$ by ! ,secret>y7  
t-- 7i7 are provid$ = ! purpose (       

ov]com+ mobility1 transportation1 or    
access b>ri]s = *ildr52 &  7ii7 satisfy 
! /&>ds & c]tification requirem5ts      
e/abli%$ "u section #aijb7;a77#hb77;,c7 
= ! ,/ate 9 :i* ! s]vices are provid$4  
4  7d7 ,increas$ f$]al fund+ = d5tal    
s]vices  7#a7 ,9 g5]al ,section #aije ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif;d71 z am5d$ by subsection 7a71 is 
am5d$-- 7,a7 9 subsection 7b71 9 ! fir/ 
s5t5ce1 by /rik+ & 7aa7 & ins]t+ 7aa71 &
 7ff72 &  7,b7 by add+ at ! end ! foll[+
 new subsection3  7ff7 ,increas$ ,,fmap 
= d5tal s]vices  7#a7 ,9 g5]al ,not)/&+ 
subsection 7b7 & section #aijc7;a77#g7 &
 subject to ! requirem5ts describ$ 9    
p>agraphs 7#c7 & 7#d71 ) respect to     
am\nts exp5d$ on or aft] ,janu>y #a1    
#bjad1 = cov]$ d5tal exp5ses 7z describ$
 9 p>agraph 7#b771 ! ,f$]al m$ical      
assi/ance p]c5tage = a ,/ate t is "o ( !
 #ej ,/ates or ! ,di/rict ( ,columbia = 
su* exp5ses %all be equal to ! ,f$]al   
m$ical assi/ance p]c5tage t w\ld o!rwise
 apply to ! ,/ate = ! fiscal ye>1 z     

det]m9$ "u subsection 7b7 or section    
#aijc7;a77#g71 increas$ by #ae p]c5tage 
po9ts4  7#b7 ,cov]$ d5tal exp5ses ,=    
purposes ( p>agraph 7#a71 ! t]m cov]$   
d5tal exp5ses means ! am\nts exp5d$ =   
m$ical assi/ance = d5tal s]vices 7z     
describ$ 9 subsection 7ee77 & am\nts    
exp5d$ = ! prop] & effici5t adm9i/ration
 ( ! provision ( su* d5tal s]vices "u ! 
,/ate plan4  7#c7 ,requirem5ts ,=       
purposes ( p>agraph 7#a71 ! ,f$]al      
m$ical assi/ance p]c5tage applicable to 
cov]$ d5tal exp5ses "u ?is subsection   
%all n apply to a ,/ate unless-- 7,a7 ! 
,/ate plan = m$ical assi/ance provides  
paym5t = d5tal s]vices 7z s def9$7      
furni%$ by a d5tal provid] at a rate t  
is n less ?an #gj p]c5t ( ! usual &     
cu/om>y fee = su* s]vices 9 ! ,/ate2 &  
7,b7 ! ,/ate satisfies su* additional   
requirem5ts z are e/abli%$ by !         
,secret>y1 :i* %all include-- 7i7       
/reaml9+ ( adm9i/rative proc$ures =     
purposes ( ensur+ adequate provid]      
p>ticipation & increas+ pati5t          

utilization ( d5tal s]vices2 &  7ii7 !  
provision ( te*nical assi/ance to d5tal 
provid]s design$ to r$uce ! numb] (     
miss$ pati5t appo9tm5ts & r$uce o!r     
b>ri]s to ! deliv]y ( oral heal?        
s]vices4  7#d7 ,limitation ,= purposes (
 am\nts exp5d$ = cov]$ d5tal s]vices1 9 
no case %all any increase "u ?is        
subsection result 9 a ,f$]al m$ical     
assi/ance p]c5tage t exce$s #ajj p]c5t4 
4  7#b7 ,con=m+ am5dm5t ,section        
#aijc7;a77#g7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif;b7a77#g77 is am5d$
 by /rik+ section #aiai7;g77#c77;,b7 &  
ins]t+ sections #aije7;ff7 &            
#aiai7;g77#c77;,b74  7e7 ,secret>ial    
responsibilities  7#a7 ,te*nical        
assi/ance & outrea* ,! ,secret>y (      
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices1 %all provide te*nical
 assi/ance to ,/ates & conduct outrea*  
to ,/ates = purposes ( educat+ &        
enc\rag+ ,/ates to utilize & provide    
paym5t "u ea* ,/ate ,m$icaid program =  

teleheal?-enabl$ d5tal s]vices 9 ord] to
 provide d5tal s]vices to traditionally 
und]s]v$ populations 9 ne$ ( su*        
s]vices4  7#b7 ,database & annual report
 on d5tal b5efits = adult ,m$icaid      
enrollees  7,a7 ,m$icaid d5tal b5efits  
database ,! ,secret>y ( ,heal? & ,human 
,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! 
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1    
%all ma9ta91 z accurately & up-to-date z
 possible1 a database t conta9s )       
respect to ! ea* ,/ate 7z def9$ =       
purposes ( title ,,xix ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #acif et  
seq477 in=mation reg>d+ ! d5tal b5efits 
available = adults enroll$ 9 ! ,/ate    
,m$icaid program1 includ+ any limits on 
su* b5efits & ! am\nt ( reimbursem5t    
provid$ "u ! ,/ate ,m$icaid program =   
su* b5efits4 ,! database also %all      
include a sep>ate description ( ! d5tal 
b5efits1 b5efit limits1 & am\nt (       
reimbursem5t provid$ "u ea* ,/ate       
,m$icaid program = pregnant wom51 if su*
 b5efits are n provid$ to ! woman z "p (

 e>ly & p]iodic scre5+1 diagno/ic1 &    
treatm5t s]vices 7z def9$ 9 section     
#aije7r7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;d7r7771 & a description
 ( ! use ( d5tal s]vices by *ildr5 &    
adults enroll$ 9 ! ,/ate ,m$icaid       
program4  7,b7 ,annual report ,!        
,secret>y ( ,heal? & ,human ,s]vices    
%all make available to ! public an      
annual report reg>d+ ! in=mation        
collect$ 9 ! database requir$ "u        
subp>agraph 7,a74 ,ea* annual report "u 
?is subp>agraph %all include = ea* ,/ate
 ,m$icaid program & ) respect to ! mo/  
rec5t ye> = :i* data are available !    
ye>ly d5tal s]vice utilization rates =  
*ildr5 & adults enroll$ 9 ! ,/ate       
,m$icaid program4  7f7 ,effective date  
7#a7 ,9 g5]al ,except z provid$ 9       
p>agraph 7#b71 ! am5dm5ts made by ?is   
section %all apply to cal5d> qu>t]s     
beg9n+ on or aft] ,janu>y #a1 #bjad1 )\t
 reg>d to :e!r or n f9al regulations to 
c>ry out su* am5dm5ts h be5 promulgat$  
by su* date4  7#b7 ,delay p]mitt$ =     

,/ate plan am5dm5t ,9 ! case ( a ,/ate  
plan = m$ical assi/ance "u title ,,xix (
 ! ,social ,security ,act :i* !         
,secret>y ( ,heal? & ,human ,s]vices    
det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5ts impos$ by ! am5dm5ts made by
 ?is section1 ! ,/ate plan %all n be    
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    
failure to meet ^! additional           
requirem5ts be=e ! fir/ day ( ! fir/    
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t beg9s aft] ! date (       
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4  ,,ii ,public ,heal?       
programs  ,a ,national ,heal? ,s]vice   
,corps  #bja4 ,national ,heal? ,s]vice  
,corps  7a7 ,9 g5]al ,section #cca ( !  

,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bed;d7 is am5d$-- 7#a7 9     
subsection 7a77#c71 by add+ at ! end !  
foll[+3  7,f7 ,! t]m d5tal !rapi/ means1
 ) respect to a ,/ate t lic5ses su*     
d5tal !rapi/s1 a mid-level d5tal        
practition] :o is lic5s$ to practice "u 
! law ( ! ,/ate & :o provides prev5tive 
& re/orative s]vices directly to !      
public1 comm5surate ) ! scope ( !       
practice4  2 &  7#b7 9 subsection 7b7-- 
7,a7 9 p>agraph 7#a71 by ins]t+ 1 d5tal 
!rapy1 aft] d5tal2 &  7,b7 9 p>agraph   
7#b71 by ins]t+ d5tal !rapi/s1 aft]     
d5ti/s14  7b7 ,facilitation ( effective 
provision ( corps s]vices ,section      
#ccf7;f77#c7 ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bed;h-#a7;f77#c77  
is am5d$ by ins]t+ d5tal !rapi/s aft]   
midwives14  7c7 ,s*ol>%ip program & loan
 repaym5t program  7#a7 ,s*ol>%ip       
program ,section #cch;,a ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bedl7 is am5d$-- 7,a7 9 subsection     
7a77#a71 by ins]t+ d5tal !rapi/s1 aft]  

d5ti/s12 &  7,b7 9 subsection 7b77#a71  
by ins]t+ includ+ d5tal !rapy1 aft] or  
o!r heal? pr(ession14  7#b7 ,loan       
repaym5t program ,section #cch;,b ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bedl-#a7 is am5d$-- 7,a7 9   
subsection 7a77#a71 by ins]t+ d5tal     
!rapi/s1 aft] d5ti/s12 &  7,b7 9        
subsection 7b77#a7-- 7i7 9 subp>agraph  
7,a71 by ins]t+ d5tal !rapi/1 aft] nurse
 practition]12  7ii7 9 subp>agraph 7,b71
 by ins]t+ d5tal !rapy1 aft] m5tal      
heal?12 &  7iii7 9 subp>agraph 7,c77ii71
 by ins]t+ 1 includ+ d5tal !rapy1 aft]  
heal? pr(ession4  7#c7 ,au?orization (  
appropriations ,section #cch;,h ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bedq7 is am5d$-- 7,a7 9      
subsection 7a71 by /rik+ ?is section &  
ins]t+ ?is subp>t2 &  7,b7 by add+ at ! 
end ! foll[+3  7d7 ,au?orization (      
appropriations ) respect to oral heal?  
pr(essionals ,to c>ry out ?is subp>t )  
respect to d5ti/s1 d5tal !rapi/s1 &     
d5tal hygi5i/s1 9 addition to ! am\nts  

au?oriz$ "u subsection 7a71 !re is      
au?oriz$ to be appropriat$ su* sums z   
may be necess>y = fiscal ye>s #bjad     
?r\gh #bjag1 :i* %all be us$ to provide 
an em]g5cy expansion = s*ol>%ips to1 &  
loan repaym5ts on behalf (1 su* oral    
heal? pr(essionals4  4  #bjb4 ,community
 bas$ d5tal resid5cies ,section #cdj;,h 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bef;h7 is am5d$ by add+ at ! 
end+ ! foll[+3  7k7 ,additional fund+ ,=
 ! purpose ( exp&+ ! program "u ?is     
section1 !re is au?oriz$ to be          
appropriat$ su* sums z may be necess>y =
 ! #e-ye> p]iod beg9n+ ) ! fiscal ye> t 
beg9s n less ?an #a ye> & n m ?an #b    
ye>s aft] ! date ( enactm5t ( !         
,compreh5sive ,d5tal ,re=m ,act ( #bjac 
4  ,b ,oral heal? education  #baa4      
,au?orization ( appropriations = oral   
heal? education = m$ical provid]s       
,section #gdg7;c7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bick7c77 is
 am5d$ by add+ at ! end ! foll[+3  7#d7 
,oral heal? education ,9 addition to o!r

 am\nts au?oriz$ "u ?is subsection =    
purposes ( c>ry+ out ?is section1 !re is
 au?oriz$ to be appropriat$ su* sums z  
may be necess>y = fiscal ye>s #bjad     
?r\gh #bjag = ! purpose ( educat+       
nond5tal m$ical pr(essionals1 includ+   
physicians1 nurses1 nurse practition]s1 
physician assi/ants1 & ph>maci/s1 ab\t  
oral heal?1 includ+ issues su* z oral   
hygi5e in/ruction1 topical application (
 fluoride1 & oral heal? scre5+s1 ) !    
goal ( integrat+ oral heal? c>e into    
ov]all heal? c>e4  4  #bab4 ,oral heal? 
education = o!r non-heal? pr(essionals  
,subp>t ,i ( "p ,c ( title ,,vii ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bick et seq47 is am5d$ by    
ins]t+ aft] section #gdh ! foll[+3      
#gdh;,a4 ,oral heal? education = o!r    
non-oral heal? pr(essionals  7a7 ,9     
g5]al ,! ,secret>y may make grants to1  
or ent] into contracts )1 an accr$it$   
public or nonpr(it private hospital1 an 
educational in/itution1 or a public or  
private nonpr(it entity :i* ! ,secret>y 

has det]m9$ is capable ( c>ry+ out su*  
grant or contract to educate            
individuals1 su* z community heal?      
work]s1 social work]s1 nutritioni/s1    
heal? educators1 occupational !rapi/s1 &
 psy*ologi/s1 to promote oral heal?     
education & lit]acy & to provide support
 = behavior *ange & assi/ance ) c>e     
coord9ation ) respect to oral heal?4    
7b7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$ su* sums z may be       
necess>y = fiscal ye>s #bjad ?r\gh      
#bjag4  4  #bac4 ,d5tal education       
,section #gdh ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bick-#b7 is       
am5d$-- 7#a7 9 subsection 7a77#a77;,h71 
by /rik+ p$iatric tra9+ programs &      
ins]t+ p$iatric d5tal tra9+ programs2 & 
7#b7 9 subsection 7c7-- 7,a7 by /rik+ ! 
subsection head+ & ins]t+ ,requirem5ts =
 aw>d4--2  7,b7 by am5d+ ! matt] prec$+ 
p>agraph 7#a7 to read z foll[s3 ,)      
respect to tra9+ provid$ = "u ?is       
section1 ! ,secret>y %all aw>d grants or

 contracts only to eligible entities t  
meet at lea/ #g ( ! foll[+ crit]ia32    
7,c7 9 p>agraph 7#b71 by /rik+ h a      
record ( tra9+ ! greate/ p]c5tage (     
provid]s1 or t h demon/rat$ significant 
improvem5ts 9 ! p]c5tage ( provid]s1 :o 
ent] & & ins]t+ tra9 significant numb]s 
( provid]s :o2  7,d7 9 p>agraph 7#c7--  
7i7 by /rik+ h a record ( tra9+ & ins]t+
 int5t to tra92 &  7ii7 by /rik+ ! p]iod
 at ! end & ins]t+ & h faculty )        
exp]i5ce 9 treat+ und]s]v$ populations42
  7,e7 9 p>agraph 7#h71 by ins]t+ or h  
e/abli%$ aft] e/abli%2 &  7,f7 by add+  
at ! end ! foll[+3  7#i7 ,qualifi$      
applicants t require n less ?an #bjj    
h\rs ( community-bas$ education         
rotations4  4  #bad4 ,oral heal?        
pr(essional /ud5t loans ,"p ,f ( title  
,,vii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bie;j7 is am5d$ by add+ 
at ! end ! foll[+3  #gii;,c4 ,oral heal?
 pr(essional /ud5t loans  7a7 ,9 g5]al  
,! ,secret>y %all e/abli% & op]ate a    
/ud5t loan fund = oral heal? pr(essional

 /ud5ts1 includ+ d5tal hygi5i/s1 d5tal  
!rapi/s1 & d5ti/s4  7b7 ,cont5t ,!      
,secret>y %all e/abli% & op]ate ! /ud5t 
loan fund program "u subsection 7a7 9 ! 
same mann] & subject to ! same t]ms z ! 
loan fund program e/abli%$ ) s*ools (   
nurs+ "u section #hce4  7c7             
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ su* sums z may be necess>y =
 fiscal ye>s #bjad ?r\gh #bjag4  4  ,c  
,o!r oral heal? programs  #bba4 ,access 
po9ts ,subp>t ,x ( "p ,d ( title ,,iii (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bef;f et seq47 is am5d$ by   
add+ at ! end ! foll[+3  #cdj;,g-#b4    
,fund+ = oral heal? s]vices  7a7 ,9     
g5]al ,! ,secret>y1 act+ ?r\gh !        
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 %all e/abli% a  
program to aw>d grants to eligible      
entities to provide oral heal? s]vices1 
or to contract ) private d5tal practices
 to provide compreh5sive oral heal?     
s]vices1 to l[ income individuals &     

individuals :o are und]s]v$ ) respect to
 oral heal? c>e4  7b7 ,te*nical         
assi/ance ,! ,secret>y %all provide     
te*nical assi/ance to entities receiv+  
grants "u subsection 7a7 to provide     
te*nical assi/ance to su* entities 9    
ord] to-- 7#a7 ) respect to oral heal?  
c>e s]vices1 increase utilization &     
effici5cy & m9imize miss$ appo9tm5ts1   
contract ) (fsite provid]s1 recruit     
provid]s 7includ+ oral heal?            
speciali/s71 & op]ate programs outside !
 physical facilities to take advantage (
 new sy/ems to improve access to oral   
heal? s]vices2  7#b7 address b>ri]s to  
access to su* s]vices & conduct t>get$  
outrea* to special populations su* z    
pregnant wom51 individuals )            
disabilities1 individuals ) *ronic      
conditions su* z diabetes1 & individuals
 resid+ 9 long-t]m c>e facilities2 or   
7#c7 contract ) private d5tal practices 
t w provide oral heal? s]vices o!r ?an  
prev5tive oral heal? c>e1 includ+       
re/oration & ma9t5ance ( oral heal?1 9  

ord] to meet ! ne$ = oral heal? s]vices 
9 ! community4  7c7 ,eligible entities  
,to be eligible to receive a grant "u   
subsection 7a71 an entity %all-- 7#a7   
be-- 7,a7 a ,f$]ally qualifi$ heal? c5t]
 7z def9$ 9 section #ahfa7;aa7 ( !      
,social ,security ,act72  7,b7 a safety 
net cl9ic or a free cl9ic 7z def9$ by ! 
,secret>y72  7,c7 a heal? c>e cl9ic t   
provides s]vices to tribal organizations
 or urban ,indian organizations 7z su*  
t]ms are def9$ 9 section #d ( ! ,indian 
,heal? ,c>e ,improvem5t ,act72 or  7,d7 
any o!r int]e/$ public or private sector
 heal? c>e provid] or organization t !  
,secret>y det]m9es has a demon/rat$     
hi/ory 9 s]v+ a high numb] ( un9sur$ &  
or l[-income individuals or ^? :o lack  
ready access to oral heal? s]vices2 &   
7#b7 demon/rate a cle> ne$ to exp& oral 
heal? c>e s]vices beyond prev5tive oral 
heal? c>e4  7d7 ,allocation = hir+ oral 
heal? c>e speciali/s ,a portion ( !     
funds available "u ?is section %all be  
allocat$ t[>d hir+ oral heal? c>e       

speciali/s1 su* z oral surgeons &       
endodonti/s1 at entities receiv+ grants 
"u ?is section4  7e7 ,au?orization (    
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$ su*  
sums z may be necess>y = ea* ( fiscal   
ye>s #bjad ?r\gh #bjag4  4  #bbb4 ,d5tal
 cl9ics 9 s*ools ,"p ,q ( title ,,iii ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bhj;h et seq47 is am5d$ by   
add+ at ! end ! foll[+3  #cii,z-#b4     
,d5tal cl9ics 9 s*ools  7a7 ,9 g5]al ,! 
,secret>y %all aw>d grants to qualifi$  
entities = ! purpose ( fund+ ! build+1  
op]ation1 or expansion ( d5tal cl9ics 9 
s*ools4  7b7 ,qualifi$ entities ,to     
receive a grant "u ?is section1 a       
qualifi$ entity %all submit an          
application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7c7 ,requirem5ts
 ,an entity receiv+ a grant "u ?is      
section %all-- 7#a7 provide compreh5sive
 oral heal? s]vices at a d5tal cl9ic    
bas$ at a s*ool1 includ+ oral heal?     

education1 oral scre5+1 fluoride        
application1 prophylaxis1 sealants1 &   
basic re/orative s]vices2  7#b7 develop 
a coord9at$ sy/em ( c>e by ref]r+       
pati5ts to an available qualifi$ oral   
heal? provid] 9 ! community = any       
requir$ oral heal? s]vices n provid$ 9 !
 d5tal cl9ic 9 ! s*ool1 includ+         
re/orative s]vices1 to ensure t all !   
oral heal? ne$s ( /ud5ts are met2 &     
7#c7 ma9ta9 cl9ic h\rs t ext5d beyond   
s*ool h\rs4  7d7 ,au?orization (        
appropriations ,= purposes ( c>ry+ out  
?is section1 !re is au?oriz$ to be      
appropriat$ su* sums z may be necess>y =
 fiscal ye>s #bjad ?r\gh #bjag4  4      
#bbc4 ,em]g5cy room c>e coord9ation ,"p 
,b ( title ,,iii ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bdc et     
seq47 is am5d$ by add+ at ! end !       
foll[+3  #cbj;,b4 ,em]g5cy room c>e     
coord9ation ) respect to d5tal c>e  7a7 
,9 g5]al ,! ,secret>y1 act+ ?r\gh !     
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 %all e/abli% a  

grant program to enable individuals to  
receive d5tal c>e at a facility op]at$  
by a grant recipi5t r ?an at a hospital 
em]g5cy room4  7b7 ,eligible entities   
,to be eligible to receive a grant "u   
?is section an entity %all-- 7#a7 be--  
7,a7 a ,f$]ally qualifi$ heal? c5t] 7z  
def9$ 9 p>agraph 7#d7 ( section         
#ahfa7;aa7 ( ! ,social ,security ,act7  
or rural heal? cl9ic 7z def9$ 9 p>agraph
 7#b7 ( su* section72  7,b7 a private   
d5tal practice2 or  7,c7 any o!r int]e/$
 public or private sector heal? c>e     
provid] or organization1 su* z a d5tal  
s*ool1 t ! ,secret>y det]m9es has !     
capacity to s]ve 9 a coord9at$1         
co/-effective mann]1 a high numb] (     
individuals :o lack access to oral heal?
 s]vices2 &  7#b7 p>tn] ) a hospital or 
urg5t c>e c5t]4  7c7 ,oral heal?        
education = prim>y c>e & ,,er heal? c>e 
provid]s ,! ,secret>y %all allocate a   
portion ( ! am\nts appropriat$ "u       
subsection 7e7 t[>d m$ical education =  
prim>y c>e & em]g5cy room physicians1   

nurses1 nurse practition]s1 physician   
assi/ants1 & nurse practition]s to be   
tra9$ 9 oral heal?4  7d7 ,report ,n lat]
 ?an ,janu>y #a1 #bjag1 ! ,secret>y %all
 submit to ,congress a report on ! be/  
practices det]m9$ by ! program e/abli%$ 
"u ?is section to address oral heal?    
ne$s ( individuals :o g to em]g5cy rooms
 9 ne$ ( oral heal? c>e4  7e7           
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ su* sums z may be necess>y =
 fiscal ye>s #bjad ?r\gh #bjag4  4      
#bbd4 ,rese>* fund+ ,= fiscal ye>s #bjad
 ?r\gh #bjag1 !re is au?oriz$ to be     
appropriat$ su* sums z may be necess>y  
to ea* (-- 7#a7 ! ,c5t]s = ,disease     
,control & ,prev5tion1 = ! purpose (    
conduct+ rese>* on-- 7,a7 ! prev5tion ( 
oral disease2  7,b7 oral disease        
managem5t2 &  7,c7 evid5ce-bas$         
/rategies to prev5t too? decay2  7#b7 ! 
,ag5cy = ,heal?c>e ,rese>* & ,quality1 =
 ! purpose ( conduct+-- 7,a7 rese>* )   
respect to oral heal? s]vices & !       

deliv]y ( oral heal? s]vices2 &  7,b7 an
 evaluation ( oral heal? s]vice deliv]y 
to und]s]v$ & vuln]able populations2    
7#c7 ! ,national ,in/itute ( ,d5tal &   
,crani(acial ,rese>* = ! purpose (      
conduct+ rese>* on oral heal? disease   
managem5t includ+                       
ph>maceutical-behavioral int]v5tion2 &  
7#d7 ! ,mat]nal & ,*ild ,heal? ,bureau =
 ! purpose ( conduct+ rese>* on p]9atal1
 po/natal1 & *ildhood oral heal? issues4
  #bbe4 ,mobile & portable d5tal s]vices
 ,subp>t ,x ( "p ,d ( title ,,iii ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;f et seq471 z am5d$ by   
section #bba1 is fur!r am5d$ by add+ at 
! end ! foll[+3  #cdj;,g-#c4 ,mobile &  
portable d5tal s]vices  7a7 ,9 g5]al ,! 
,secret>y %all aw>d grants to ,f$]ally  
qualifi$ heal? c5t]s 7z def9$ 9 p>agraph
 7#d7 ( section #ahfa7;aa7 ( ! ,social  
,security ,act71 rural heal? cl9ics 7z  
def9$ 9 p>agraph 7#b7 ( su* section71   
nonpr(it d5tal cl9ics1 & d5tal s*ools to
 provide mobile & portable1 compreh5sive

 d5tal s]vices t provide = ! re/oration 
or ma9t5ance ( oral heal? & function    
7includ+ d5tal s]vices provid$ by lic5s$
 provid]s ?r\gh teleheal?-enabl$        
collaboration & sup]vision7 & outrea* = 
d5tal s]vices to und]s]v$ populations4  
,eligible entities %all deliv] su*      
s]vices at locations su* z s5ior c5t]s1 
nurs+ homes1 assi/$ liv+ facilities1    
s*ools1 lic5s$ day c>e c5t]s t s]ve     
eligible individuals :o receive b5efits 
"u ! ,/ate ,*ildr5's ,heal? ,insurance  
,program "u title ,,xxi ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acig;aa  
et seq47 or ! ,m$icaid program "u title 
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq471 & facilities t
 provide s]vices "u ! ,special          
,supplem5tal ,nutrition ,program =      
,wom51 ,infants1 & ,*ildr5 7! ,,wic     
program7 or ! ,head ,/>t ,act 7#db      
,u4,s4,c4 #ihca et seq474 ,! ,secret>y  
%all aw>d ! grants to entities t c      
provide coord9at$ c>e & cont9uity ( c>e4
  7b7 ,au?orization ( appropriations ,to

 c>ry out ?is section1 !re are au?oriz$ 
to be appropriat$ su* sums z may be     
necess>y4  4  ,d ,oral heal? s]vices z  
an ess5tial heal? b5efit  #bca4 ,oral   
heal? s]vices z an ess5tial heal? b5efit
 ,section #acjb7;b77#a7 ( ! ,pati5t     
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjbb7;b77#a77 is am5d$ by   
add+ at ! end ! foll[+3  7,k7 ,oral     
heal? s]vices4  4  ,,iii ,dep>tm5t (    
,vet]ans ,affairs & ,dep>tm5t ( ,def5se 
,matt]s  ,a ,dep>tm5t ( ,vet]ans        
,affairs ,matt]s  #cja4 ,requir+ !      
,secret>y ( ,vet]ans ,affairs to furni% 
d5tal c>e 9 ! same mann] z any o!r      
m$ical s]vice  7a7 ,9 g5]al ,title #ch1 
,unit$ ,/ates ,code1 is am5d$-- 7#a7 9  
section #agja7f71 by /rik+ z describ$ 9 
sections #agaj & #agab ( ?is title2     
7#b7 9 section #agaj7;c71 by /rik+ !    
second s5t5ce2  7#c7 9 section #agab--  
7,a7 by /rik+ subsections 7a7 & 7b72    
7,b7 by r$esignat+ subsections 7c71 7d71
 & 7e7 z subsections 7a71 7b71 & 7c71   
respectively2 &  7,c7 9 subsection 7a71 

z r$esignat$ by subp>agraph 7,b7-- 7i7  
by /rik+ ,d5tal appliances & ins]t+ ,!  
,secret>y may furni% d5tures1 d5tal     
appliances2 &  7ii7 by /rik+ to be      
furni%$ by ! ,secret>y "u ?is section   
may be procur$ by ! ,secret>y & ins]t+  
"u ?is section & may procure su*        
appliances2 &  7#d7 by /rik+ section    
#bjfb4  7b7 ,con=m+ am5dm5ts ,su* title 
is fur!r am5d$-- 7#a7 9 section         
#aebe7;a71 by /rik+ m$ic9es "u section  
#agab7;d7 & ins]t+ m$ic9es "u section   
#agab7;b72 &  7#b7 9 section            
#agjc7;a77#g71 by /rik+ 1 = a vet]an    
describ$ 9 section #agab7;a77#a77;,f7 ( 
?is title4  7c7 ,cl]ical am5dm5ts ,su*  
title is fur!r am5d$-- 7#a7 9 section   
#agab1 9 ! head+ = su* section1 by /rik+
 ,d5tal c>e & ins]t+ ,appliances2  7#b7 
9 ! table ( sections at ! beg9n+ ( *apt]
 #ag1 by /rik+ ! item relat+ to section 
#agab & ins]t+ ! foll[+ new item3       
#agab4 ,appliances2 drugs & m$ic9es =   
c]ta9 disabl$ vet]ans2 vacc9es4  2  &   
7#c7 9 ! table ( sections at ! beg9n+ ( 

*apt] #bj1 by /rik+ ! item relat+ to    
section #bjfb4  #cjb4 ,demon/ration     
program on tra9+ & employm5t (          
alt]native d5tal heal? c>e provid]s =   
d5tal heal? c>e s]vices = vet]ans 9     
rural & o!r und]s]v$ communities  7a7   
,demon/ration program au?oriz$ ,!       
,secret>y ( ,vet]ans ,affairs may c>ry  
out a demon/ration program to e/abli%   
programs to tra9 & employ alt]native    
d5tal heal? c>e provid]s 9 ord] to      
increase access to d5tal heal? c>e      
s]vices = vet]ans entitl$ to su* s]vices
 :o reside 9 rural & o!r und]s]v$       
communities4  7b7 ,teleheal? ,= purposes
 ( alt]native d5tal heal? c>e provid]s &
 any o!r d5tal c>e provid]s :o are      
lic5s$ to provide cl9ical c>e1 d5tal    
s]vices provid$ "u ! demon/ration       
program "u ?is section may be adm9i/]$  
by su* provid]s ?r\gh teleheal?-enabl$  
collaboration & sup]vision :5 deem$     
appropriate & feasible4  7c7 ,alt]native
 d5tal heal? c>e provid]s def9$ ,9 ?is  
section1 ! t]m alt]native d5tal heal?   

c>e provid]s has ! mean+ giv5 t t]m 9   
section #cdj;,g-#a7;a77#b7 ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bef;g-#a7;a77#b774  7d7 ,au?orization (
 appropriations ,!re are au?oriz$ to be 
appropriat$ su* sums z are necess>y to  
c>ry out ! demon/ration program "u ?is  
section4  ,b ,dep>tm5t ( ,def5se ,matt]s
  #caa4 ,demon/ration program on tra9+ &
 employm5t ( alt]native d5tal heal? c>e 
provid]s = d5tal heal? c>e s]vices =    
memb]s ( ! ,arm$ ,=ces & dep5d5ts lack+ 
ready access to su* s]vices  7a7        
,demon/ration program au?oriz$ ,!       
,secret>y ( ,def5se may c>ry out a      
demon/ration program to e/abli% programs
 to tra9 & employ alt]native d5tal heal?
 c>e provid]s 9 ord] to increase access 
to d5tal heal? c>e s]vices = memb]s ( ! 
,arm$ ,=ces & _! dep5d5ts :o lack ready 
access to su* s]vices1 includ+ ! foll[+3
 7#a7 ,memb]s & dep5d5ts :o reside 9    
rural areas or areas o!rwise und]s]v$ by
 d5tal heal? c>e provid]s4  7#b7 ,memb]s
 ( ! ,national ,gu>d & ,res]ves 9 active

 /atus :o are pot5tially deployable4    
7b7 ,teleheal? ,= purposes ( alt]native 
d5tal heal? c>e provid]s & any o!r d5tal
 c>e provid]s :o are lic5s$ to provide  
cl9ical c>e1 d5tal s]vices provid$ "u ! 
demon/ration program "u ?is section may 
be adm9i/]$ by su* provid]s ?r\gh       
teleheal?-enabl$ collaboration &        
sup]vision :5 deem$ appropriate &       
feasible4  7c7 ,alt]native d5tal heal?  
c>e provid]s def9$ ,9 ?is section1 ! t]m
 alt]native d5tal heal? c>e provid]s has
 ! mean+ giv5 t t]m 9 section           
#cdj;,g-#a7;a77#b7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#bef;g-#a7;a77#b774  7d7 ,au?orization (
 appropriations ,!re are au?oriz$ to be 
appropriat$ su* sums z are necess>y to  
c>ry out ! demon/ration program "u ?is  
section4  ,,iv ,f$]al ,bureau ( ,prisons
  #dja4 ,demon/ration program on tra9+ &
 employm5t ( alt]native d5tal heal? c>e 
provid]s = d5tal heal? c>e s]vices =    
prison]s )9 ! cu/ody ( ! ,bureau (      
,prisons  7a7 ,demon/ration program     

au?oriz$ ,! ,attorney ,g5]al1 act+ ?r\gh
 ! ,director ( ! ,bureau ( ,prisons1 may
 c>ry out a demon/ration program to     
e/abli% programs to tra9 & employ       
alt]native d5tal heal? c>e provid]s 9   
ord] to increase access to d5tal heal?  
s]vices = prison]s )9 ! cu/ody ( !      
,bureau ( ,prisons4  7b7 ,teleheal? ,=  
purposes ( alt]native d5tal heal? c>e   
provid]s & any o!r d5tal c>e provid]s :o
 are lic5s$ to provide cl9ical c>e1     
d5tal s]vices provid$ "u ! demon/ration 
program "u ?is section may be adm9i/]$  
by su* provid]s ?r\gh teleheal?-enabl$  
collaboration & sup]vision :5 deem$     
appropriate & feasible4  7c7 ,alt]native
 d5tal heal? c>e provid]s def9$ ,9 ?is  
section1 ! t]m alt]native d5tal heal?   
c>e provid]s has ! mean+ giv5 t t]m 9   
section #cdj;,g-#a7;a77#b7 ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bef;g-#a7;a77#b774  7d7 ,au?orization (
 appropriations ,!re are au?oriz$ to be 
appropriat$ su* sums z are necess>y to  
c>ry out ! demon/ration program "u ?is  

section4  ,v ,indian ,heal? ,s]vice     
#eja4 ,demon/ration program on tra9+ &  
employm5t ( alt]native d5tal heal? c>e  
provid]s = d5tal heal? c>e s]vices "u ! 
,indian ,heal? ,s]vice  7a7             
,demon/ration program au?oriz$ ,!       
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,indian ,heal? ,s]vice1 may
 c>ry out a demon/ration program to     
e/abli% programs to tra9 & employ       
alt]native d5tal heal? c>e provid]s 9   
ord] to help elim9ate oral heal?        
disp>ities & increase access to d5tal   
s]vices ?r\gh heal? programs op]at$ by !
 ,indian ,heal? ,s]vice1 ,indian tribes1
 tribal organizations1 & ,urban ,indian 
organizations 7z ^? t]ms are def9$ 9    
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act 7#be ,u4,s4,c4 #afjc774
  7b7 ,teleheal? ,= purposes (          
alt]native d5tal heal? c>e provid]s &   
any o!r d5tal c>e provid]s :o are lic5s$
 to provide cl9ical c>e1 d5tal s]vices  
provid$ "u ! demon/ration program "u ?is
 section may be adm9i/]$ by su* provid]s

 ?r\gh teleheal?-enabl$ collaboration & 
sup]vision :5 deem$ appropriate &       
feasible4  7c7 ,alt]native d5tal heal?  
c>e provid]s def9$ ,9 ?is section1 ! t]m
 alt]native d5tal heal? c>e provid]s has
 ! mean+ giv5 t t]m 9 section           
#cdj;,g-#a7;a77#b7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#bef;g-#a7;a77#b774  7d7 ,au?orization (
 appropriations ,!re are au?oriz$ to be 
appropriat$ su* sums z are necess>y to  
c>ry out ! demon/ration program "u ?is  
section4  ,,vi ,reports to ,congress    
#fja4 ,evaluation ( expansion ( cov]age 
= d5tal s]vices  7a7 ,secret>y ( ,heal? 
& ,human ,s]vices ,n lat] ?an ,octob]   
#a1 #bjag1 ! ,secret>y ( ,heal? & ,human
 ,s]vices %all submit to ,congress a    
report t provides a compreh5sive        
co/-b5efit analysis reg>d+ ! expansion (
 cov]age = d5tal s]vices pursuant to ?is
 ,act1 includ+ :e!r ! provision ( su*   
s]vices result$ 9 a r$uction 9 total    
heal? c>e co/s = individuals "u !       
,m$ic>e & ,m$icaid programs4  7b7       

,comptroll] ,g5]al  7#a7 ,m$icaid &     
,m$ic>e ,n lat] ?an ,janu>y #a1 #bjag1 !
 ,comptroll] ,g5]al ( ! ,unit$ ,/ates   
%all submit to ,congress a report t     
provides a compreh5sive analysis &      
evaluation ( ! implem5tation &          
utilization ( ! exp&$ cov]age = d5tal   
s]vices pursuant to ?is ,act =          
individuals enroll$ 9 ! ,m$ic>e &       
,m$icaid programs4  7#b7 ,demon/ration  
programs ,n lat] ?an ,janu>y #a1 #bjag1 
! ,comptroll] ,g5]al ( ! ,unit$ ,/ates  
%all submit to ,congress a report t     
provides a compreh5sive analysis &      
evaluation ( ! demon/ration programs    
describ$ 9 sections #cjb1 #caa1 #dja1 & 
#eja1 includ+-- 7,a7 ! ext5t to :i* !   
programs improv$ access to oral heal?   
c>e & increas$ utilization ( oral heal? 
s]vices2 &  7,b7 an exam9ation ( ! tra9+
 provid$ "u ! programs to alt]native    
d5tal heal? c>e provid]s & ! quality (  
c>e provid$ by su* provid]s4